0001653220-15-000003.txt : 20151009 0001653220-15-000003.hdr.sgml : 20151009 20151008184234 ACCESSION NUMBER: 0001653220-15-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151009 DATE AS OF CHANGE: 20151008 EFFECTIVENESS DATE: 20151009 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Upstream Health Systems Inc. CENTRAL INDEX KEY: 0001653220 IRS NUMBER: 474692691 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-247801 FILM NUMBER: 151151714 BUSINESS ADDRESS: STREET 1: 220 SECOND AVENUE S CITY: SEATTLE STATE: WA ZIP: 98104 BUSINESS PHONE: 206-842-9485 MAIL ADDRESS: STREET 1: 220 SECOND AVENUE S CITY: SEATTLE STATE: WA ZIP: 98104 D/A 1 primary_doc.xml X0707 D/A LIVE 0001653220 Upstream Health Systems Inc. 220 SECOND AVENUE S SEATTLE WA WASHINGTON 98104 206-842-9485 DELAWARE None None Corporation true 2015 Jay Henry 220 Second Avenue S Box 228 Seattle WA WASHINGTON 98104 Executive Officer Bernard Hansen 220 Second Avenue S Box 228 Seattle WA WASHINGTON 98104 Executive Officer Alex Philp 119 Apple House Lane Missoula MT MONTANA 59082 Director Samuel Camarata 60460 Tekampe Road Bend OR OREGON 97702 Director Scott Bedbury 3020 Issaquah Pine Lake Road #481 Seattle WA WASHINGTON 98075 Director Other Technology $1,000,001 - $5,000,000 06b true 0001653220-15-000002 2015-09-05 false true true false 25000 600000 425000 175000 Total Offering Amount excludes over-subscription of $400,000.00 USD. false 4 0 0 100000 true false Upstream Health Systems Inc. Jay Henry Jay Henry Executive Officer 2015-10-08